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Does It Make Clinical Sense to Equate Terminally Ill Patients Who Require Life-Sustaining Interventions With Those Who Do Not?
Two US courts of appeals have ruled that competent, terminally ill patients have a constitutional right to physician-assisted suicide. The cases are now before the US Supreme Court, which is expected to issue a ruling ...
Artificial Feeding--Solid Ground, Not a Slippery Slope
The authors discuss state court decisions and statutes that address the refusal of artificial feeding by competent patients and the withholding of artificial feeding from incompetent patients. These decisions, the ...
End-of-Life Care After Termination of SUPPORT
The assumptions underlying the SUPPORT study may be incorrect. Informed patients may want interventions that other people regard as inappropriately aggressive.
Decision Making for Incompetent Patients by Designated Proxy: California's New Law
Decisions on providing or withholding care for incompetent patients were traditionally made jointly by physicians and family members. Living wills represent a second approach, and now a third approach--the durable power of ...
Futility: Not Just a Medical Issue
We do not like the idea of doctors and nurses being forced to provide care that offends their sense of themselves and their art. But we like even less the idea of physicians allocating resources without the force of society's ...
Expanding the Paradigm of the Physician's Role in Surrogate Decision-Making: An Empirically Derived Framework
BACKGROUND: Little is known about what role physicians take in the decision-making process about life support in intensive care units. OBJECTIVE: To determine how responsibility is balanced between physicians and surrogates ...
Clinical Decisions to Limit Treatment